Extracorporeal Membrane Oxygenation Specialist FT Night
Location(s) : McLane Children's Hospital, Temple, TX.
Schedule: FT Nights Position ( 12 hour shifts)
About Us
Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.
Our Core Values are:
We serve faithfully by doing what's right with a joyful heart.We never settle by constantly striving for better.We are in it together by supporting one another and those we serve.We make an impact by taking initiative and delivering exceptional experience.Benefits
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
Eligibility on day 1 for all benefitsDollar-for-dollar 401(k) match, up to 5%Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and moreImmediate access to time off benefitsAt Baylor Scott & White Health, your well-being is our top priority.
Note: Benefits may vary based on position type and/or level
Job Summary
The Extracorporeal Membrane Oxygenation (ECMO) Specialist is an experienced critical care clinician. This specialist works with the healthcare team to provide extracorporeal life support to patients in intensive care. They ensure appropriate patient care by monitoring, troubleshooting, and managing the ECMO circuit and equipment. The specialist partners with bedside RNs, physicians, and other healthcare team members to coordinate complex patient care. They are accountable for assisting daily ECMO program operations under the ECMO Manager or Coordinator's supervision.
Essential Functions of the Role
Assembles, prepares, primes, and evaluates the ECMO circuit for safe use on the patient. Monitors and adjusts ECMO circuit settings to maintain parameters set by the ECMO physician and guidelines. Ensures the backup ECMO circuit is ready for emergency use at all times.Assesses the patient's physiologic status using monitors, lab results, and physical findings to evaluate ECMO therapy effectiveness. Partners with the ECMO physician and other healthcare professionals to develop and implement an effective care plan. Recommends changes in patient management to the ECMO physician during daily rounds based on the patient's physiologic status and the relationship with the ECMO circuit or lab parameters.Participates in ECMO program education, outreach, and research activities as delegated by the ECMO Program Manager. This includes certification training, routine in-services, didactic, and simulation competencies. Maintains knowledge and participates in current research related to ECMO.Performs ECMO routine circuit assessment and safety checks throughout the shift. Anticipates and prevents potential problems or emergencies. Utilizes ECMO flowsheet for ongoing, complete, and detailed documentation.Monitors and manages anticoagulation levels and fluid status per ECMO guidelines. Ensures appropriate levels for optimal ECMO therapy. Reports current status to providers and ensures care is delivered as ordered.Participates in the development of quality initiatives to audit outcomes and patient follow-up.Provides family/patient education and creates an attentive, helpful, safe and therapeutic environment.Partners in developing, implementing, and maintaining ECMO program policies, procedures, and clinical standards of care. Assists in collecting and maintaining data required by the Extracorporeal Life Support Organization and BSWH System.Ensures patient safety during ECMO therapy. Helps with technical components like CRRT, plasmapheresis, blood sampling, and volume administration. Maintains scheduled pre- and post-oxygenator gases to ensure circuit integrity.Assist ECMO providers with cannulation and starting therapy. Autonomously perform circuit exchanges and emergency interventions. Respond to ECPR hospital calls promptly. Perform intra/inter hospital transport as part of the Rapid ECMO Deployment (RED) Team. On-call participation may be required.Key Success Factors
Proficient in the knowledge, beliefs, techniques, and operation of extracorporeal membrane oxygenation equipment and systems like Rotaflow, Centrimag, Cardiohelp, LifeSparc, Protek Duo, Quadrox, Nautilus, and AMG.Detailed knowledge of extracorporeal help physiology, membrane gas exchange physics, and physiology. Understanding critical care disease pathologies and cardiothoracic postoperative management. Knowledge of acute respiratory distress syndrome physiology and mechanical circulatory help physiologies.Proficient in mechanical circulatory help device operations and management strategies (e.g., percutaneous ventricular assist devices, implantable ventricular assist devices, IABP).Advanced knowledge of health care modalities, therapies, equipment, and medications in cardiac intensive care. Proficient in managing solid organ transplant patients.Ability to follow safety, infection control, and isolation procedures at all times. Uses critical thinking and clinical judgment to work independently.Must work under stress using critical thinking and problem-solving skills. Social communication skills are necessary to work with employees, physicians, patients, and family members. The position requires advanced troubleshooting skills.Evaluate ECMO therapy quality by assessing the patient's physiologic status. Use bedside monitors, invasive hemodynamic monitoring, lab results, and physical assessments.Advanced knowledge of ECLS physiology and ECMO modalities not limited to Veno arterial, Veno venous, Veno pulmonary and eCPR.Completion of a two-year AMA approved respiratory care program required.Bachelor's degree preferred.Experience in Clinical Respiratory Therapy in Intensive Care Unit required; Cardiothoracic or Transplant ICU experience preferred.At least 1 year of direct ECMO patient care required.Completion of an ELSO-endorsed training course or another ECMO Training Program based on ELSO Guidelines at a registered ECMO center is required.Adult Critical Care Specialty RRT preferred.Belonging Statement
We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve.
QUALIFICATIONS
EDUCATION - Associate'sEXPERIENCE - 2 Years of ExperienceCERTIFICATION/LICENSE/REGISTRATION - Basic Life Support (BLS)
ACLS (ACLS): Must have ACLS and BLS within 30 days of hire/transfer.
Respiratory Care Practitioner (RCP): Licensed by the State of Texas Medical Board as a Respiratory Care Practitioner (RCP).
Reg Respiratory Therapist (RRT): Registered Respiratory Therapist (RRT) from the National Board Respiratory Care.